8513 SW LUCILLE COURT ,v
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N
CHH OF TIGARD CEPTIFICATE'' Of
COMMUNITY DEVELOPMPNT DEPARTMENT OCCUPANCY
13125 SW Nell Blvd.Tigard,Oregon 97223.9199 (502)639,4171 PERMIT' #0. . . . . . . a I+IST`93
i.+ nATF- ISSUC., )l 09107/97
PARCEL e 1 S 133DD--LUC 05
SI1'E ADDREf3C. . . I 08513 SW LUCILLE CT
SUBD I V I Ci I ON. . . . I LUC I LLE Z ON I F!a t
$I_OCH. . . . . . . . . .
,...e......,._.__._..__.Iw.OT. . . . . . . . . . . . .
;_._...._._.--- ___...,.__.__,.,.•__..__.__...,...__ _...._._.__._.___.. ■
OF WORK. 214EW
TYPE OF USE. . . rSr
OCC,!IPANCY ORP. I R3 ■
OCCUPPNCY LOAD t c2'20 4
TE.N0111 NAME. . . a
4} .
+ y Pemark,a a PATH H
OwnvrI _._ .. . _ - ._.__ _....__..__..._...._..__.. _..... .._.
NOR744LANU HOME`S
1834 SW 581'H
PORTLAND OR 17221
Ph orl e #1 292--3975
Contrat:'-tort -.._.._._.____._ ...... .......___.._._..__.._. ....._._......_.. ..._....
NORTHLAND HOMES
W34 SW 56TF t
t
POP'TLANU OR 972,' 1
Phone #Fr. 29c--3975
13127
f ),•czupant.y of thN above 1itefer^enced building is hereby given' and certifies
I;hw c:ompli+anre vr.r<t:h the State Of Ure4ori 13peciaity C;aOPs for t:h(e 9V-01-A :,,
or_r_tilpancy, and use under which the referenced Perm--t was issued.
FIRE I7EF'AR TMEN1' AC1A D I I NSPEC, ' t?
_.._...._._........� -rl LII..C!f =F'I C.FAL__.._..r._ _.
POST IN CONSPICUOUS Pi.-AGE
1 1
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sPECTTON "arise
City of Tigard Building Depart1M00t
13125 AO Ball Bird. Tigard, Jragon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 1
Inspectiont_
Mooting Plbq. U•.deralab Mach. Rough-in APer/adwlk
Found. Plbg. Top Out Gas Line ( IINAL1 `
Post/Beam Struct. San. Sewer Frosting Bldg.
Post/Beam Mach. Rain Drain Inet•lation -Plumb.
P.Ibg. Underfloor Water Line Gyp. Bd. -Meoh.
Data Requestedt � _Times AM PH
hcidrese t (� �(.r_ A 1 0 �l ` Permit
Builder: t60 r V`
THE FOLLOWIiVG CORRECTIONS ARE REQUIRED2
'a Inspector ' Dates
_—`AP''ROVED DrSAPPROVED APPROVEU SUBJECT TO AB1rvE
Call For Reinep.
INSPECTION NOT:CS / f
City of Tigard Buildir_c+ Depar+Awent �f
13125 SN Ball Blvd. Tioard, Oregon 97 ;/�/
Inspection Line (Rec-4-Phnne)t 639-4175 Business no: 639-4171
Inspection:__.____
Footing Plbg. Underslab Mesh. Rough-in Appr/8dwlk
Found. P1bg. Top Out Oar Line fI1g1LJ
Post/Beam Struct, San. Saver Framing -Bidy.
Post/Beam Mach. Ral.t Drain Insulation -Plumb. f
_..
Plbq. Underfloor Water Line Gyp. Rd. -Meeh..
Date Reg•Aestedt I -, wJ � _Times AM
� -
Addresr! �-C�-CX-Q Permit il_q_—r(x` •?� _
Builder: 1 V�''Y`1 �� ( ()tiL (z-��1 A
THE FOLLOWING OORRECTIONS ARE RRWIRED!
_ - ��i Pic ��c'�'�s✓_�!-��L y.._—
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---- --------- ----- x Vii! r
Inspectort \ ' Dates ,'�{ {
_APPROVRD DISAPPROVED APPROVED SUBMICT TO AHM
—._._.
_Call For Reinap.
1
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INSPECTION NOTICE
City of Tiyt:rd Bui.ldinq nepar►im%nt '
13125 tni Ha]i Illvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 BUsinesn Phone: 639-4171
Inspect
Footing 'V-- -- r
g Plbg. Undere2el, Mech. Rough-in Appe/E�lwl:
Found. Plbg. Top Out. Gas line FINAL:
Pont/Beam Strurt. San. Sewer. Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
-Meeh. tpM)
Dete _ _quested: Ll
AH
Times yrf�
Address:�,j _ PermitBuilder:
THE FOLLOWING CORRECTIONS ARE REQULRED:
_ y
Inspector:-L�St`fr�___
"'7-r-�="� DateZ---
APPROVFD DISAPPROVED �`✓/APPROVE: SUBJECT TOO ABOVES
--Call For Re•insp.
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MPECTION NOTICE
City or Tigard Building Department
.3225 SW Hall nlyd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639--4171
Inspection: ----_—_--- _— __�—_---
Footing Plbq. Dnderslab Mech. Rough-in Appr/S.iwlk
Found. Plbq. Top Out Gas Line FINAL-
Post/Beam Struct. Ban. �ftll
Framing -Bldg. I
Post/Roam Mach. Rain Insulation -Plumb.
Plbq. Underfloor Nater Gyp. Bd. -Mech.
Data Aequestedtt Time: AM _, PM
-�
Address: Permit I l/i � Perm l': i: LUG- �
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Bull.dert
TNM FOLLOWING CORARCTIONS ARE REQUIRED:
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Inspector: _ Dates
Y_RPPR0VRD DISAPPROVED APPFJMD SU&MCT TO ARM
-- Call For Reinsp.
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INSPSGTION__cT1__c9 T
City of Tigard Building Deparbseut- i
13125 6M Rall Blvd. Tigard, Oregon 97223 ✓
Is.spection Li (Rec-o-Phnne)t 639-4175 Busiq ss.Phones 633.-4111 O
Inspection: ----
looting Plbg. Underilab Hoch. Rough in � Appr/Sdwlk
pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
post/Beam Hoch. Rain Drain Insulation -Plumb• I
Plbg. Underfloor Na or Line GYP• ad. 'H �
Date Requestedt� `0 �/ ++-- Tine: J AN j `PH
Ac:dresas `J l PermitXx �s /✓��� -�OS�-�
■
4 �79'lE
Builders
THE FOLLOWING CORRECTIONS ARE REQUIPEDs
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Inspectors
APPROV"dD DISAPPROVED APPROVED SUBJECT TU ABOVE
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Call For Reinap.
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INSPP_CTjON NOTjgE
City of Tigard Building Departwwt
13125 aw Hall Blvd. Tigard, Oregon 97723
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone 39-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Stru-t. San. Sewer Framing -Bldg.
Post/Beam Mecb. Rain Derain Insulation -Plumb. I
Plbg. Underfloor Water Line oyp. Bd. -Mech.
Date Re
quesyt/ed t � _'f ime t AM
Address: 4 /_� /��1C� C Permitr��E? _
Builder: �e —/�7 r //���^/ �� _ •
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
Inspseto s Dates "
APPROVED _ _ TM APPROVED "PROVED SUBJECT To ABOVE
---Call For Reinep.
.,r:;;;J:.,:elxy/uk'T.119i�.k.�JiJ4Y4YYYipWC.'R vC.1:`n'rtvr a,Yef.gMMw+YqufMYWJ
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INSPECTION NOTICE
City of Tigard Building Depsrtsent
13125 SW Ball Blvd. Tigard, Oregon 9720/ .
Inspection Line (Rec-O-Phone)s 639-4175 Buuineu Phorres 639--4171
Inspection:_
Footing Mg. VrAeralab Mach. Rough-in Nppr/Sdwlk
Found. Plbg. Top dqb~ Can Line FINAL:
Pont/Beam struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb. •
Plbg. Undorflcor Water Line Qyp. Rd. -Mach.
Date Requeatedc .:�- - ! __—Timet AM -- PM
Address s„ Permit 1s-/3
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
--r
Inspect
s�rt Dntes
,.___APPM0VZD DISAPPROVTD APPROVED SURJECT TO ABOVE
_Call For Reinap.
1
INSPECTION NOTICE
City of Tigard (Building riepertmmn1b'
13125 SW Hall Blvd- Tigard, Oregon 972-41
Inspection Line (Rec-O-Phone): 639-4175 Rusiness Phones 639-;171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer lisi q -Bldg.
Post/Beam Hoch. Rain Drain Insulntior .-Plumb.
Plhg. Underfloor Hater Line Gyp, ad. -Mach.
Date Requested: 7 Tiro/: _ — AM PM
Address: J Permit f:l�3
Builder:_ s/ /-,,!fT{_//
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspect s� _ �— Dates
� d
APPROVED DISAPPROVLD APPROVIZD SUBJECT TO ABOVE
„Call For Reinsp.
is�
IN6PECfION NOTICE
city of Tigard Building Departaent
13125 ON Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 6311-4171
Inspection'--�-— —`!--
---
lootingPlbg. Undecslab Hech. Rough-in Appr/Sdwlk Ij
Pound. Plbg. Top Out Gas Lino FI:.AL:
Past/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbc. Underfloor Nater Line Gyp. B-1• -Hoch.
-� '
Date RequostGeds__� 1� Times AM PM
Address: D '-� r7C//ice_ /i" Permit
THE FOL..OWING OORRECTIONS ARE REQUIRgal i
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Inspector:
yK--r�---Il Datet
_APPROVED DISAPPROVED — APPROVED SUBJRCT TO ABOVE
--Call For Reinsp.
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INSPECTION NOTICE
City or Tigard BuTigard Department97 Pe
�
1.3125 811 Hall. Blvd. Tigard. Oregon 972 .., .
Inopection Line (Rec-O-Phone): 639-4175 Bueir3as Ph9-4171
Inspection:___
Footing Plbg. Undernlab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out vias Line FINAL:
et/Beam Stru San. Sewer Framing -Bldg.
BeamMesal• Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ed. -Mach.
Date Request 4t 'S S �� Time: -___AM _ PH
Addreno:_ tj l_- Pornit
Buil-der:
THI, FOLLOWING CORRECTIONS ARE REQUIRED:
yp
OR" 11.111 fi:
Inepectar� � (}
Date: --�—�
APPROVED DISAPPROVED ^— APPROVED SUBJECT TO AROVB
Call For Reinap.
s
CITY X TIGARD
OREGON
March 22, 1993
Northland fomes
10211 SW Barbur Blvd. , Room 202
Portland, OR 97217
Re: Lucille Subdivision
This letter is to confirm previous conversations with
the representative
inspector from the Cit of Tigard, with. Tarry, P
from Northland Homes.
The following, are minimum requirements uue to the type of soil
conditions found on-site, and the way construction methods are
k being em'Ployed installing utilities, streets, etc. , at the same
time thai; footings are being ccnstructed, which is resulting in a
large amount of undesirable soils, rock, etc. being moved and
deposited randomly on the job site.
• All lots are required to be tested by an independent test lab
showing soils will. meet minimum standards (UBC 1 & 2 family
Code.
Also, footings alreaCy poured on Lot #1 appear to be subeta-,dard
with poor consolidation of concrete; poured without proper farming,
etc. This footing will also r_ ied to be tested to meet minimum
standards of 3 ,000 psi.
t Tom Plescher
Building Inspector
br/North1wx1.ltr
t
f ---_- _-_-- - _ -- PLUMBING PERMIT
7T"JWPERMIT #. . . . . . . : MST93-005"LlCITY OF TKA CnAFTWARD DATE ISSUED: 02/10/93
rTy
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EVUEL ; OREGON -LUCQ
Mj'NT RE
i 225TME-V 0- 7L�Wt4� PARCEL: IS133DD
L
SUBD I ,,,IS I L 1L.L ZONING:
SLOCK. . . . . . . . . . LO-1.. . . . . . . . . . . . . .5
CLASS OF WORK—NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . —Sil., WASHING MACH. . . . . . . cl BACKFLOW PREVNTRS. . :@
OCCUPANCY GRr-,. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . ..0
STORIES. . . . . . . . s2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 ■
FIX1*URES---------------- LAUNDRY TRAYS. . . . . . i@ SF RAIN DRAINS. . . . . : 1
S I NKS. . . m . . . . . . .. I GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :2 OTHER FIXTURES. . . . . :0
IUB/SHOWERS. . . . : SEWER LINE (ft) . . . . 10 ■
WATER CLOSETS. . :2 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . 90
Remarks : PATH 8 a
OWNER: -------------__-__FEES--------------_..__
NORTHLAND
-----------------FEES-------------- --
NORTHLAND HOMES TIF 1460. 00 JH 02/10/93
1834 SW 58TH BPRI $ 307. 00 JH 212/10/93
—
HPLC $ 40. 00 JLH 08/26/92 92-230954
PORTLAND OR 97221 B5PC $ 15. 15 JH 02110193 -
Phone #: 292-3975 BPLL $ 15. 00 JH 02/10/93 -
SSDC * 280. 00 JH 02/10/93 -
Plumbing Con t ract a v-: PARK $ 500. 00 JH 02/10/93 -
r MPRT $ 40. 50 JH 02/10/93 -
Name
Name --TIYIPLC $ 10. 13 JH 02/10/93
M5pc $ 2. 03 J14 02/10/93
City 5 t at e PPRT $ 110. 210 JH 02/10/93
Zip: 3 P5PC $ 5. 50 JH 02/10/9
Reg ------
REQUIRED INSPECTIONS
This permit is issued subject to the r-eq--
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Seam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Ilechan Appr/SdwIk Insp
in accordance with approved plans. This PIm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp Board Insp ..........
ized Plum ink ontractor Signature
Call for inspection 639-4175
Lontractor Notes:
..........
............ .............
77,
W. f('mN.7 ,�,-.7i-7
CITYOFTIFARD
MFaSTER F'E_R1+11r ,
.COMMUNITY DEVELOPMENT DEPARTMENT
OFTWA 1" #' ' ' ` " ' ' = hIST93-0b53
19126 SW FW I Blvd. P.O.Bax 23397,Tlpsd.Or"m o7�t;apal43"1 6
DATE ISS 111:D: 02/10/93
SITE ADDRESS. . . : 08513 SW LUCILLE CT' PARCEL: IS133DD-LUC05
SUBDIVISION. . . . : LUCILLE ZONING:
RD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5
-----------------------------------
BUILDING ___.._._._.___----_____.__
REISSUE:MST93-0052 DWELLING UNl TS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRlvlSs3 PATHS:2 GARAGE. . . . . . . . . . :324 sF
TYPE OF USE. . . :SF FLOOR BREWS__._____.___ REQUIRED SETBACKS-----._-.-___.__
TYPE OF' CONST. :5!V FIRST. . . . :52'6 s•f LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R,3 SECOND. . . :596 S FRONT. :32 ft REAR. . :20 ft
STORIES. . . . . . . : THIRD. . . . :0 s F REQUIRED_______________.___....._
HEIGHT. . . . . . . . ..20 ft TOTAL------: 11` s SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 57444 PARKING SPACES, . : 1
Remarks: PATH 8
._---.--__-.-________________________ PLUMBING --------------------------------------
SINKS
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. ,, :O 1
LAVATORIES. . . . . :2 WATER HEATE:RS. . . : 1 TRAPS. . . . . . . . . . . . . . :N ,
TUB/SHOWERS. . . . : 1 LAUNDRY 'TRAYS. . . :O CATCH BASINS. . . . . . . :N
WATER CLOSETS. . :2 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 ,.
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
--------------- MECHA141 CAL ___..__._____._.______________.__..___ FEES --------------- -
FUEL TYPES- -__._.__. ._..___ UNIT HTRS. . s0 type amount by date recpt
/GAS/ i / VENTS . . . . . :(Z+ TIF $ 1460. 00 JH 02/10/93 -
MAX INPUT:O BTU VENT FANS. . :3 BPRT $ 30.7. 00 JH 02/10/93 - i
TURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC $ 40. 00 J'LH 08/26/92 92-230954
FURN ) •-100K . . z0 WOODSTOVES. :0 BSPC $ 15. 35 JH 02/10/93 -
FLOOR TURN. . . . :0 CLO DRYERS. : 1 SPLC $ 15. 00 JH 02/10/93 - �
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 SSDC $ 280. 00 JH 02/10/93 -
GAS OUTLETS: l PARK( $ 500. 00 JH 02/10/93 -
Owner e -_-_- .._____________._____..___.._._. 'R T $ 40. 50 JH 02/10/93 -
NORTHLAND HOMES MPLC s 10. 13 JH 02/10/93 -
1834 SW 58TH Iv15f--''C $ 2. 03 JH 02/10/93 -
PF'RT $ 110- 00 JH 02/10/93 -
PORTLAND OR 97221 P5PC $ 5. 50 JH 02/10/93
Phone #: 292-3975
Contractors
NORTHLAND HOMES
1834 SW 58TH
PORTLAND OR 97221
Phone #: 292-3975
Reg #, . s 13727 --
s ::785. 51 TOTAL
This permit is issued subject to the regulations contained in the ------ - REQUIRED INSPECTIONS -----
y
ligard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Inspf
applicable laws. All work wail be done in accordance with approved Post/Beam Struct Ga, Line Insp
plans. This permit will expire if work is not started within 189 Post/Beam Mechan Insulation Insp
days of issuance, or if work is cusp more tl 18@ days. Plm/Undslab Insp Gyp Board Insp
PLM/Underfloor' Rain drain Insp
Permittee Signatr_Ir T�1 Mechanical Insp Water Line Insp
Issued Py: P'lamb Top Out Appr-,/Sdwlk Insp
P r a m i n g I n s p Mechanical t. i n a l
Call for inspection - 639-4175 �
CITYOFTIFARD SEWER CONNED T'I ON
CffY RD
ma j �COMMUNfrY DEVELOPMENT DEPARTMENT mooei f ... .JR 1'. ,
13125 SW HellBMd. P.O.Box 23M,Tipmd,Oregon 97223ISM)639-4176 f..E.f�I�ITT #. . . « . . : 5WR9 5—��49
b.:39--41. 71 DA—fE ISSUED: 02/10/93
SITE ADDRESS. . . : 08513 SW 1_UL:IL.LE LT PARCEL: 1S133DD—LUC05
SUBDIVISION. . . . : LUfwll._.I_F' ZONING:
BLOCK. . . . . . . . . . . I0T. . r r . . . . . . . . a15
TENANT NAME. . . . . : ,
USA NCI. . . . . . . . . . . FIXTURE UNITS. . . :
CL_ASS OF WORK. . . �NEW DWELLING UNITS. . : 1
T'Yf='E OF USE. . . . . :5F NO. Of BU I LD I NGS: 1
I I\IST11LL TYPE. . . . :BUSWR I lflf-,F-HV SURFACE. . : t
Remar•+s : f'l-1TH r=l
1
Owner,: _.._...____.________________.__._.___.____.___._._._________-________-- F'EE S
NORT'III-AND HOMES type amol.int by date r er:l::rt;
16,34 SW 5ST'l-I f,Rll-1 $ 2100. 00 JH 0 _/10/93 -
INSf•--' 9 35. 00 JH 0`110/9;`
PIORTLAND OR '37 L1 a
Pf1one #: :::92-3975
1
1.
Cott 1-act or:
CONTRACTOR NOT ON FILE
-----------------------------------------
PI-Ione ft: $ 2135. 00 TOTAL
Rey #. . :
REUU I RED I NSF'E:C T•I ONS --- —This Applicant agrees to comply with all the rules and regulations Sewer, Inspection
of the Unified Sewc-je Agency. The permit expires 190 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals, If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the dista,rce given. If not so located, the installer shall purchase
a "Tap and Side Sewe, Permit and th y will ins l a la ].
Permittee Siynati_rr 7
I s s r_t a d By _ __.�.
Call for inspection - 639-4175
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PLNCK RECT #
T� � T�T> 13125 SW Hall f3fwd. /
CITY OF 1 [/`1j�" j■J■ PO Bo:23397 ? 'C/u S
7iprtrd,Oregon 97223 PERMIT � 3
�• '� �-'
COMMl1N111' DEVELOPMENT Dt PARTMF,NT (503)e)39-4171DATE ISSUED �_ I
E
j.
^2 ADDRESS• �•5/ .3 �Scti% TAX MAP/' OT /S/ 3��,0� -
uGUS I
SUB: Fsfh >% LOT: _ S LAND USE: �
VALUATION:
ALUATION: .5 ` ' 4- -
OWNER SPECIAL NOTES M
NAME: �'r`-n-� ��� REISSUE OF:
LAST REISSUc:
ADDRESS: __ —
FLOOD PLAIN/
f PHONE: SENSITIVE LAND:
� CONTRACTOR •
APPROVALS RE U I RED
Sus9L�bao'{
NAME: .�,c ^rte._ ___ PLANNING:
ADDRESS: _ ENGINEERING: .�
FIRE DEPT: ___ ----
PHONE - OTHER: -Z - -�2G"
CONTR. BOARD #: XP DATE:
3 7 ITEMS REQUIRED ,
JV,/ `,f/SUBCONTRACTORS:
SUBCONTRACTORS: PLUMB: //L`_..,�� � LI ---
MECH: T =�i �-� "t` BU; TAX: --
ARCH ENGINEER CALCULATIONS: _ -
NAME: _ TRt;:;S DETAILS:
ADDRESS: ___ _. OTHER: -
PHONE: —
PROPOSED BLDG. USE: --
COMMENTS: SU6,ZZ-,O �' --i-
APPLI(j SIGNATURE __---- -- -_ -
Received By: _ is Date Received:
•
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees J
10-230 01 State Building Tax (5%)/. �1YJ11-� — ZZ 'n
Building 3> f
Plumbing J.S'C
Mechanical 3 /
10-433 00 Plans Check Fee / / (� '13
Building
Plumbing
Mechanical
10-230 06 Fire -
30-202 00 Sewer Connection a _ C,L)
30-444 00 Sewer Inspection 3S 3S —
i 25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _-
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees _90.no
52-449 OU Parks System Dev Charge (PDC) _ _5C-0iU
31-450 00 Storm Drainage Syst Dev Chrg /
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL
nm/3587P.WPF
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1 (,11Y OF TIC-ARD PE.CLIPT QV PAYMENT riEI:"'E.. CF'T NCS, 7t!�- -365, 0 i
i NAME t NORTHLAND HOMES C 1.1C. K t.010JNT e 48110. 51 {
P)DRF,':;S a I:AEtH AMOUNT T t 0. ola t
PAYMEXT DATE fl►c_'/1 V.1/CT3
P UR 1IS�- OF POYMENT NMt:LINT PA t L) PURF't);Sr I IF Pf' YME'llIT AMUI.INT GAA 1.D
"W I LU I No PEpM ._.___..,__._..__..._. _,_......... ....._..... __... _ _... _......
307. IAO F='I,.Uh1S I IVC+ G''l.Rlhi
'A1C:THAN Z 144L. I-'E i I IA. 00 I1
*+�• �� u1 . flUIL.0 1:-LP PLAS
II
'NAN CHECK FE i?5. 13 SEWER UsV4 I
PAWS SEA.
4 WER INEir'T 11210. 00
aTCJ1TM !)RAIN '31)C; '1130. k' 500. 00
IREISIDENTrt=il_. TRAFFIC; P*�'E.a 1 350. 00 I
!HAI+tw SRF 1tJ!,I'T T TF FRE-6 1 t 121, 0 l
1 t
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CIT 5 I._UCII_LE I5T
',`'ai.% SW L.CICILL.T. CT
i 1 rll.. AMUUNT f i.,d I T)
W".">,,.,41+ixaN`;i1o���RtraR'i?iit`�k<4hR,S�hbktrAJJti�N�.A_,n^�.ki.; �.n il��; �'d�91f114Mi?,Yti'� "
CITYOFTIFARD *Y7 �COMMUNITY DEVELOPMENT DEPARTMENT hU I LD I NLY PERI+I I f
3,2.6swHall stid. P.o.Box 23397,n9vd,Oregon 97223 lsai►6394»s PERMIT #, . . . . . . . toUP93--0019
639-41'71 DATE ISSUED: 02/O9/93
SITE ADDRESS. . . : 08513 SW LUC I LL.E CT PARCEL e 1 S 133DD•-LUCOS
SUBDIVISION. . . . : LUCILLE: ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .5
-------------------------
- ---
REISSUE: yµ'W�FLOOR IaREAS---_—^--- - - --EXTERIOR—WALL`CONSTRUCTION--
CLASS OF WORD'.. :DEM FIRST. . . . s f N: S.. E: W.
TYPE OF USE. . . :ACS SECOND. . . : sf PROTECT OPENINGS?-_-----------,—
TYPE OF CONST. :SN THIRD. . . . : sf IV: S: E: W:
OCCUPANCY GRP. :B2 TOTAL---------.: 0 s f ROOF CONST: F I RE RET?:
OCCUPANCY LOAD: PASEIvIENT. : sf AREA SEP. RATED:
STOR. : 1 HT. : ft GARAGE. . . e s f OCCU SEP. RATED: �
BSMT? : ME:ZZ.,: READ SETBACKS—•----•---- REQUIRED--------------------
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACL:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $: 0
Remarks: DEMOLISH 150 SQ FT SHED. ALL DEBRIS TO BE REMOVED.
Owner: FEES
NORTHLAND HOMES type amount by date r,eU.,I.;t
1834 SW 581-H AVE p'RIAT $ 25. 00 JH 02/09/93
5PLT $ 1. 25 JH 02/O9/93
PORTLAND OR 9722.
Phone #:
i
Lontractor: -------_---------.__-----.._--------_—
NORTHLAND HOMES
IS34 SW 58TH
e
PORTLAND OR 97221 _.____------_________._---- .___._.-----•--__..._.____
Phone #: 292-3975 $ 26. 25 IOTAL
Reg #. . : 13727
-------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
iigartf Municipal Code, State of Ore. Specialty Codes and all other �_�_ _ __,_•___. _.__
applicable laws. All work will he done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended fcr• more
than IN days.
Fl e r m i t t e e S i y n a t r_r r t • �` �_ _ .�.__•���____—
Cal 1 far inspect inn _ 63y-417;
i
-'�' 4/ 7
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CITY Of- TTC7ARD REC',11PT 0PPYME.N1 RL(I I P T Ni. .:'36 4 Ell
CHECK AMOUNT Rl"i
!BIW IE: e 1'JUR 1"HLAND H(IMF S CAI-3H AkUUN r e IA. 0
PAYMFN1 '01-ITE : 0;--.1 09/c)3
ti U Ll D T V.[ ,t',,JN
,
PURPOSE OF PAYMENT AMOUNT PAID k)r I"Aymr,':I'd r AMULINT P(41D
UII.UTNC "' FtM 23. 00 :3f. M.111A) PFr',
r
UhMUL.I T I UN P17PIA I r
i
DOTAL AMOUNT r,,-)'(D &,5
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